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Intangible Assets, Net | 12 Months Ended
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Dec. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract] |
Intangible Assets, Net | Intangible Assets, Net At December 31, 2019, intangible assets, net consisted of the following:
| Useful Life (Years) |  | Gross January 1, 2019 |  | Additions |  | Impairment/ Disposal |  | Gross December 31, 2019 |  | Accumulated Amortization |  | Net December 31, 2019
Indefinite Lived Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Medicare license | N/A |  | $ | 1,994,000 |  |  | $ | — |  |  | $ | (1,994,000 | ) |  | $ | — |  |  | $ | — |  |  | $ | — |
Amortized Intangible Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships | 11-15 |  | 109,883,000 |  |  | 34,047,000 |  |  | — |  |  | 143,930,000 |  |  | (60,524,996 | ) |  | 83,405,004 |
Management contracts | 15 |  | 22,832,000 |  |  | — |  |  | — |  |  | 22,832,000 |  |  | (9,676,381 | ) |  | 13,155,619 |
Member relationships | 12 |  | 6,696,000 |  |  | — |  |  | — |  |  | 6,696,000 |  |  | (2,352,133 | ) |  | 4,343,867 |
Patient management platform | 5 |  | 2,060,000 |  |  | — |  |  | — |  |  | 2,060,000 |  |  | (858,329 | ) |  | 1,201,671 |
Tradename/trademarks | 20 |  | 1,011,000 |  |  | — |  |  | — |  |  | 1,011,000 |  |  | (105,312 | ) |  | 905,688 |
|  |  | $ | 144,476,000 |  |  | $ | 34,047,000 |  |  | $ | (1,994,000 | ) |  | $ | 176,529,000 |  |  | $ | (73,517,151 | ) |  | $ | 103,011,849 |
At December 31, 2018, intangible assets, net consisted of the following:
| Useful Life (Years) |  | Gross January 1, 2018 |  | Additions |  | Impairment/ Disposal |  | Gross December 31, 2018 |  | Accumulated Amortization |  | Net December 31, 2018
Indefinite Lived Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Medicare license | N/A |  | $ | 1,994,000 |  |  | $ | — |  |  | $ | — |  |  | $ | 1,994,000 |  |  | $ | — |  |  | $ | 1,994,000 |
Amortized Intangible Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships | 11-15 |  | 109,883,000 |  |  | — |  |  | — |  |  | 109,883,000 |  |  | (48,361,773 | ) |  | 61,521,227 |
Management contracts | 15 |  | 22,832,000 |  |  | — |  |  | — |  |  | 22,832,000 |  |  | (7,447,581 | ) |  | 15,384,419 |
Member relationships | 12 |  | 6,696,000 |  |  | — |  |  | — |  |  | 6,696,000 |  |  | (1,289,667 | ) |  | 5,406,333 |
Patient management platform | 5 |  | 2,060,000 |  |  | — |  |  | — |  |  | 2,060,000 |  |  | (446,333 | ) |  | 1,613,667 |
Tradename/trademarks | 20 |  | 1,011,000 |  |  | — |  |  | — |  |  | 1,011,000 |  |  | (54,763 | ) |  | 956,237 |
|  |  | $ | 144,476,000 |  |  | $ | — |  |  | $ | — |  |  | $ | 144,476,000 |  |  | $ | (57,600,117 | ) |  | $ | 86,875,883 |
Amortization expense was $16.3 million, $17.1 million and $17.5 million (including $0.3 million, $0.4 million and $0.4 million of amortization expense for exclusivity incentives) for the years ended December 31, 2019, 2018, and 2017, respectively, which is included in depreciation and amortization in the accompanying consolidated statements of income. During the year ended December 31, 2019, the Company wrote off indefinite-lived intangible assets of $2.0 million related to Medicare licenses it acquired as part of the Merger. The Company will no longer utilize these licenses and as such the Company will not receive future economic benefits. Future amortization expense is estimated to be as follows for the years ending December 31:
| Amount
2020 | $ | 16,026,000 |
2021 | 14,542,000 |
2022 | 12,673,000 |
2023 | 10,842,000 |
2024 | 9,830,000 |
Thereafter | 39,099,000 |
| $ | 103,012,000 |

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- Definition The entire disclosure for all or part of the information related to intangible assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -URI http://asc.fasb.org/topic&trid=2144416 + Details
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